Laurance Jerrold
Orthodontists
96 Aspen Drive East
Woodbury
, New York 11797
Laurance Jerrold
Orthodontists
96 Aspen Drive East
Woodbury
, New York 11797
(904) 710-5125
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Laurance Jerrold
- 96 Aspen Drive East
- Woodbury, NY
- Zip : 11797
- Phone : (904) 710-5125
Second Address
- Laurance Jerrold
- 96 Aspen Drive East
- Woodbury, NY
- Zip : 11797
- Phone : (904) 710-5125
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FAQs
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Is Laurance Jerrold accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 032081 | NY |
National Provider Identifier
| NPI | 1043641772 |
|---|---|
| Provider Name | Laurance Jerrold |
| First Address | Woodbury, NY 11797 |
| Second Address | Woodbury, NY 11797 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2013 |
| Last Update Date | 30/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.